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Efficacy of an implementation package on documentation of central venous catheter insertions : an observational study

Linné, Erik LU orcid ; Adrian, Maria LU orcid ; Bentzer, Peter LU and Kander, Thomas LU orcid (2021) In BMJ open quality 10(2).
Abstract

BACKGROUND: Proper documentation of central venous catheter (CVC) insertions in electronic healthcare records is the basis for good follow-up and quality assurance. We have noted serious deficiencies in the documentation of CVC insertions and introduced an implementation package with the purpose of increasing the completeness of this documentation. The aim of the present study was to estimate the effect of the implementation package by assessing the proportion of missing data before and after the introduction of the implementation package.

METHODS: In this single centre observational study, data from CVC insertion templates in a common electronic health record were extracted and analysed after introducing the implementation... (More)

BACKGROUND: Proper documentation of central venous catheter (CVC) insertions in electronic healthcare records is the basis for good follow-up and quality assurance. We have noted serious deficiencies in the documentation of CVC insertions and introduced an implementation package with the purpose of increasing the completeness of this documentation. The aim of the present study was to estimate the effect of the implementation package by assessing the proportion of missing data before and after the introduction of the implementation package.

METHODS: In this single centre observational study, data from CVC insertion templates in a common electronic health record were extracted and analysed after introducing the implementation package. The package included adoption of new local CVC-directions, a new updated CVC-insertion template in the regional common electronic health record and a review of all CVC-insertion templates with a reminder to the inserting physician to supplement missing data. The proportion of terms with missing data was reviewed and also compared with the proportion of missing data in a study prior to the introduction of the package.

RESULTS: In total, 7126 CVC-insertion templates were included. Of these 5539 (78%) were without missing data for any of the 13 predefined variables. Completed insertion templates for three common terms increased from 38% prior to the introduction of the implementation package to 93%, which represents an absolute reduction for missing data of 55% (95% CI 53% to 56%, p<0.0001).

CONCLUSION: The implementation package was highly effective in increasing the proportion of fully documented CVC insertions.

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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
BMJ open quality
volume
10
issue
2
article number
e001155
publisher
BMJ Publishing Group
external identifiers
  • pmid:33910958
  • scopus:85105049521
ISSN
2399-6641
DOI
10.1136/bmjoq-2020-001155
language
English
LU publication?
yes
id
36016eb6-e22c-422c-84ff-5e31eeda2166
date added to LUP
2021-05-06 17:45:25
date last changed
2025-04-04 14:18:24
@article{36016eb6-e22c-422c-84ff-5e31eeda2166,
  abstract     = {{<p>BACKGROUND: Proper documentation of central venous catheter (CVC) insertions in electronic healthcare records is the basis for good follow-up and quality assurance. We have noted serious deficiencies in the documentation of CVC insertions and introduced an implementation package with the purpose of increasing the completeness of this documentation. The aim of the present study was to estimate the effect of the implementation package by assessing the proportion of missing data before and after the introduction of the implementation package.</p><p>METHODS: In this single centre observational study, data from CVC insertion templates in a common electronic health record were extracted and analysed after introducing the implementation package. The package included adoption of new local CVC-directions, a new updated CVC-insertion template in the regional common electronic health record and a review of all CVC-insertion templates with a reminder to the inserting physician to supplement missing data. The proportion of terms with missing data was reviewed and also compared with the proportion of missing data in a study prior to the introduction of the package.</p><p>RESULTS: In total, 7126 CVC-insertion templates were included. Of these 5539 (78%) were without missing data for any of the 13 predefined variables. Completed insertion templates for three common terms increased from 38% prior to the introduction of the implementation package to 93%, which represents an absolute reduction for missing data of 55% (95% CI 53% to 56%, p&lt;0.0001).</p><p>CONCLUSION: The implementation package was highly effective in increasing the proportion of fully documented CVC insertions.</p>}},
  author       = {{Linné, Erik and Adrian, Maria and Bentzer, Peter and Kander, Thomas}},
  issn         = {{2399-6641}},
  language     = {{eng}},
  number       = {{2}},
  publisher    = {{BMJ Publishing Group}},
  series       = {{BMJ open quality}},
  title        = {{Efficacy of an implementation package on documentation of central venous catheter insertions : an observational study}},
  url          = {{http://dx.doi.org/10.1136/bmjoq-2020-001155}},
  doi          = {{10.1136/bmjoq-2020-001155}},
  volume       = {{10}},
  year         = {{2021}},
}